I01
Non-Billable

Rheumatic fever with heart involvement

Non-Billable / Non-Specific Code

What is Rheumatic fever with heart involvement?

ICD-10-CM I01 is the diagnosis code for Rheumatic fever with heart involvement. This code falls under the section "Acute rheumatic fever" within Chapter 9 — Diseases of the circulatory system (I00-I99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for I01

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as I01. They are mutually exclusive:

  • chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process.

ICD-10-CM Code Hierarchy

Understanding where I01 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeI01 — Rheumatic fever with heart involvement
Sub-Codes 5 entries
I01.0Acute rheumatic pericarditisBillableI01.1Acute rheumatic endocarditisBillableI01.2Acute rheumatic myocarditisBillableI01.8Other acute rheumatic heart diseaseBillableI01.9Acute rheumatic heart disease, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is I01 a billable ICD-10-CM code?

No, I01 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does I01 mean?

I01 is the ICD-10-CM diagnosis code for "Rheumatic fever with heart involvement". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is I01 in?

I01 is located in Section I00-I02 — "Acute rheumatic fever" within Chapter 9 of the ICD-10-CM Tabular List.

What are the sub-codes of I01?

I01 has 5 sub-code(s) that provide more specific detail: I01.0, I01.1, I01.2, I01.8, I01.9.

When should I use I01?

Use I01 when the patients documented diagnosis matches "Rheumatic fever with heart involvement" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Rheumatic fever with heart involvement?

The ICD-10-CM code for Rheumatic fever with heart involvement is I01.

Can I01 be used for primary diagnosis?

No, I01 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is I01 in?

I01 is in Chapter 9 of the ICD-10-CM Tabular List.

What conditions are excluded from I01?

Type 1 Excludes for I01 include: chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process..

Is I01 valid for 2026?

Yes, I01 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousI00Rheumatic fever without heart involvementNext →I01.0Acute rheumatic pericarditis
Code Details
I01
Rheumatic fever with heart involvement
Non-Billable / Non-Specific Code
9 — Diseases of the circulatory system (I00-I99)
I00-I02 — Acute rheumatic fever
2026 ICD-10-CM